Angela Jayne Broussard, LSW

NPI #1992201172 in Moraine, Ohio

Provider Information

NPI Number: 1992201172
Entity Type: Individual
Name: Angela Jayne Broussard, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Apr 5, 2018
Last Updated: Apr 28, 2022

Practice Location

Address: 3095 KETTERING BLVD FL 4
City: Moraine
State: Ohio
ZIP Code: 45439-1983
Phone: (937) 293-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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